The AI scribe for GPs with a special interest

The special-interest clinic record

Your assessment, the procedure consent and the letter back to the registered GP, Note Dr writes the full, watertight clinic record, ready to approve.

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Trusted from single-handed practices to multi-site groups

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See it in action

From clinic assessment to approved record

Note Dr listens as the clinic consultation happens. While you take the history, examine, reason aloud and take the biopsy, it writes the record in the background, so your hands stay on the patient and your eyes stay off the keyboard.

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Built for scrutiny

Defensible by
default, every clinic

  • Procedure consent on record

    What you explained, the risks of the biopsy or minor procedure and that the patient agreed, recorded the moment you take consent in clinic, not written up from memory afterwards.

  • The result and its owner, named

    The histology you sent, who acts on it and who the patient hears from, captured in the note, so an abnormal result never falls between the clinic and the practice.

  • Safety-netting in the letter

    The advice you gave and the route back, written into the referral or discharge letter to the registered GP, the very step GMC paras 69 to 70 expect to see documented.

Document the facial lesion clinic plan

Plan, suspected basal cell carcinoma

Punch biopsy takenLeft cheek, local anaesthetic, histology sent
Consent recordedRisks of bleeding, infection and scarring explained
Onward letter draftedRefer for excision, GP letter with safety-net

As thorough as your clinic

A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny, the assessment and reasoning, the consent, the documented safety-net and the letter back to the registered GP, where conventional primary-care records measured against published standards routinely fall short.

  • Attention on the patient
  • Time back in your day

Standards and evidence referenced: GMC Good Medical Practice (2024) and the NMC Code (2018), with safety-netting documentation studies (Edwards et al, British Journal of General Practice, 2021) and the NHS Resolution review of GP cancer-delay claims (2025).

A note for
every clinic contact

    Patient memory

    The last clinic visit,
    before they sit down

    Ask what you found last time, what you biopsied, or what the patient consented to, answered in seconds from their own clinic record.

    Walk into the follow-up already knowing the story, without trawling the notes.

    Ask Note Dr, Maelona Pengarth
    What did we biopsy for Maelona, and what was the safety-net?
    NNote Drfrom this patient's record
    At the community dermatology clinic on 23 June, you assessed an 8mm basal cell carcinoma on the left cheek and took a diagnostic punch biopsy under local anaesthetic, with written consent recorded. You referred her on for excision and safety-netted her to return if the lesion grew, ulcerated or bled, copied to her registered GP.
    Drawn from 3 documents across 1 visit
    Clinical references

    The standard,
    in your clinic

    When a presentation calls for it, Note Dr surfaces the published guidance GPs with a special interest work to, from NICE NG12 suspected cancer recognition and referral and the safety-netting it expects, to GMC Good Medical Practice and the PRSB outpatient-letter headings, with the source shown. It never tells you how to treat your patient; that judgement stays with you.

    app.notedr.com
    Appointment TranscriptMaelona PengarthToday · 17:06
    01:30MaelonaThere's a lump on my cheek that's grown over a few months, and now it bleeds when I catch it shaving.
    03:55GPPearly, rolled edge, telangiectasia, arborising vessels on dermoscopy. This is a basal cell carcinoma, I'll biopsy and refer on.
    NNote Dr

    Want me to surface any guidance for this? You could ask:

    Show me the NICE NG12 criteria for suspected skin cancer referral
    What safety-netting does NICE expect me to document here?
    Remind me of the GMC Good Medical Practice record-keeping standards
    Which PRSB headings should this letter to the GP follow?
    What is the MDU guidance on recording consent for a minor procedure?
    GuidelinesJournalsReferences

    The clinic's record,
    sorted

    Why GPs with a special interest trust Note Dr with a record that stands up to scrutiny.

    ★★★★★

    The consent is finally on every procedure

    Dr Carenza H, GP with a special interest in dermatology

    Recording exactly what I explained before a biopsy, and that the patient agreed, used to be the line I rushed between cases. Now the consent discussion is captured the moment I take it, which is where my exposure sat. I check and approve in under a minute.

    ★★★★★

    Safety-netting that is actually written down

    Dr Lleucu P, GPwSI in minor surgery

    I always said the worsening advice out loud, but it rarely reached the note. Note Dr writes the safety-net into the record and the GP letter every time, so the advice I gave is documented, not just spoken and forgotten.

    ★★★★★

    The letter back to the GP, same day

    Dr Endellion T, community dermatology GPwSI

    The letter to the registered GP used to be the evening backlog. Note Dr drafts it to the proper headings from the clinic, with the diagnosis, what I did and the actions spelled out. I approve it before the patient has left.

    ★★★★★

    No result falls between us and the practice

    Dr Anselm G, dermatology GPwSI and clinical lead

    In an intermediate clinic the hand-off is the risk. Note Dr names the result, who acts on it and who the patient hears from, and copies it to their own GP. An abnormal histology is owned in two places now, not left implied.

    ★★★★★

    Calmest clinic audit we have run

    Dr Mabyn R, GPwSI in skin surgery

    Contemporaneous records across the whole clinic, with the examination, the consent, the safety-net and the GP letter on every case. Our last record-keeping review was the smoothest it has been, the notes already told the whole story.

    Rated 4.7 out of 5 by GPs with special interest from 69 reviews

    What's said in the surgery
    stays in the surgery.

    Every recording and record is protected by strong, independently assessed security and encryption.

    ISO 27001 Aligned Cyber Essentials GDPR Compliant ICO Registered NHS Compliant UKCA Medical Device HIPAA Compliant

    ★★★★★

    Across a full community list, assessments, biopsies and minor procedures, every record now reads to the same standard, with the consent, the safety-net and the letter back to the registered GP that used to thin out when the clinic ran late. My notes and my letters finally match the work I actually do.

    Dr Jowan CGP with a special interest in dermatology

    GPwSI FAQs

    Do I need to tell patients I'm using an AI scribe in clinic?

    Yes — tell the patient at the start of the consultation and note their agreement; if they object, you document without it. NHS England's ambient-scribing guidance expects transparency and the chance to decline. Note Dr keeps it simple: the recording stays on your device, and the drafted assessment, consent record and GP letter are filed only once you review and approve them.

    Who is responsible for a note an AI scribe has written?

    The clinician who signs it — an AI scribe drafts the record, but responsibility for its accuracy stays with you, exactly as GMC record-keeping standards expect. Note Dr is built around that: it drafts the clinic assessment, the procedure and consent record and the letter to the registered GP, and nothing enters the record until the GPwSI has reviewed, amended and approved it.

    Does Note Dr work for GPwER clinics as well as GPwSI?

    Yes — GPwER (GP with an Extended Role) is the current RCGP term for the same role, and Note Dr documents any extended-role clinic: dermatology, skin surgery, MSK, ENT, women's health, headache or a minor-surgery list. Build one template per clinic type and every record follows it — assessment, consent, safety-netting and the letter to the registered GP, drafted for you to approve.

    Can an AI scribe help with GPwER reaccreditation and appraisal evidence?

    An AI scribe helps with the record-keeping half of reaccreditation: every clinic contact leaves a structured, contemporaneous note — indication, consent, procedure, histology plan and safety-net — ready to pull for your logbook, audit or appraisal. Note Dr drafts each one in the consultation for you to review and approve; the accreditation judgement stays with your assessing body.

    Can it draft the referral or discharge letter back to the registered GP?

    Yes. From the clinic consultation, Note Dr drafts a structured letter to PRSB outpatient headings, with the diagnosis, what you did, the onward referral or discharge and explicit actions for the registered GP. The safety-net is carried into the letter too. You review and approve it before it is sent.

    How does it record consent for a biopsy or minor procedure?

    As you explain the procedure, the risks of bleeding, infection and scarring and the alternatives, Note Dr captures the consent discussion: what you explained and that the patient agreed. It is recorded the moment you take consent, alongside the procedure and specimen, so the consent reflects the conversation you actually had.

    Does Note Dr document the special-interest clinic assessment?

    Yes. As you take the focused history, examine, describe your dermoscopy or examination findings and reason toward a working diagnosis aloud, Note Dr records the full clinic assessment in a structured note. The detail a later reviewer relies on is captured contemporaneously, not reconstructed from memory afterwards.

    Records that keep up with your clinic

    Complete, watertight records for every contact in the clinic, assessments, biopsies and minor procedures, plus the letter back to the registered GP, reviewed and approved by you. Consent, safety-netting and the onward plan, finally handled.

    Get Note Dr free

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